NPI | 1225271760 |
---|---|
Entity Type | Organization |
Authorized Contact | PARVEEN KUMAR M.D. 601-790-9266 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MS 15267) |
Enumeration Date | 2009-04-14 |
Last Update Date | 2012-12-17 |